Vaginitis Candida BV Trichomoniasis Wet Mount Whiff Test Vaginal pH Trich Albicans gardnerella
Distinguished future physicians welcome toStomp on Step 1 the only free tutorials series that helps you study more efficiently by focusingon the highest yield material. I'm Brian McDaniel and I will be your guide on thisjourney through vulvovaginal infections. This is the 3rd tutorialmy playlist covering allof microbio. Vulvovaginitis (AKA Vaginitis) is inflammationof the lower genital tract. It is usually due to infection, but there are a wide varietyof causes. During this tutorial we will focus on the 3 most important causes of vulvovaginitisfor the medical board exam (trichomonas, candida and BV). However, you should know that othertypes of vaginitis include mechanical irritation,
allergic reactions (to soaps or feminine products)and a variety of other infections. Atrophic Vaginitis is a common cause of vaginitis inpostmenopausal women and we will cover thata later tutorialthe GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered laterits own tutorial. We will start with a few different tests thatwe will use to differentiate between the different infections.Wet Prep (AKA Wet Mount Test) is a microscopic examination of vaginal discharge used to differentiatebetween different types of vulvovaginitis. The vaginal specimen is obtained using a speculumand a que tip similar to how one gets a pap
smear. Then the specimen is rubbed onto aglass slide. One half of the slide has a op of saline added to it while the other halfof the slide has a op of 1020% KOH (Potassium hyoxide) added to it.When Saline is added it makes it easier to view clue cells for BV flagellated motilecells for trichomonas. The KOH kills bacteria and vaginal cells leavingonly yeast cells. This makes it easier to view the psuedohyphae and budding yeast presentduring vulvovaginal candidiasis. KOH is also alkalotic so it can be used fora â€œWhiff Test.â€� In this scenario when the alkalotic KOH is added to a sample containingBV it will create an amine or fishy smell.
This is a similar principle behind how thesmell of BV can increase after unprotected sex since semen is alkalotic. The normal vaginal pH for a reproductive agewoman is about 4, while the normal vaginal pH before puberty and after menopause is about7. During puberty there is an estrogen guided increasethe growth lactobacilli flora.These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about4. Now that you know the normal values you can apply it to diseases. Usually, BacterialVaginosis Trichomonas have alkalotic pH (gt;4.5reproductive age women) while candidahas normal pH (lt;4.5). pH paper can be tested
by using pH paper on vaginal discharge. You can see here at the top right corner thatI give BV a high yield rating of 3 on a scale from 1 to 10. If you want to learn more about that ratingsystem you can go to my website or click on this orange box here if you are watching thistutorial on a computer. Bacterial Vaginosis (AKA BV) is a polymicrobialinfection caused by the overgrowth of normal flora. The key bacteriathis infectionis gram negative Gardnerella Vaginalis. Clue cells are visible on the saline portionof a wet prep. A Clue Cell is a sloughed mucosal
squamous epithelial cell coveredmany adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few stered lactobacill to squamous cells that are coveredthousandsof adherent garenerella bacteria. Here is one more pic. You can see on the leftwe have a normal squamos epithelial cell with a few WBCs. On the right we have the darkerClue cells. Finally I have a photomicrograph to look atin case you see that on your test. A thinwatery graywhite discharge is presentA fouls smell is present and often described as an Amine Odor or Fishy Smell. This smellis intensified after unprotected intercourse
What Causes Recurring Yeast Infections
I've got a question here on somebody. Whatcauses a recurring yeast infectioné Recurring yeast infections are caused by probablya partial recognition of the problem and some treatment that's been effective to a degree,so you may know you've got this problem, you'll fix it up a little bit. It'll go away to adegree, but then it will recur; it will come back again, so I commonly see this with people,many different people, who are quite busy and active. They sort of want to get rid oftheir yeast infection, but don't invest the right amount of time or effort to really eradieit properly. This is very common with working people, busypeople, with moms with a couple of chilen,
for example, or guys that are selfemployedor working quite hard, you know, have got jock itch, for example. These people are verybusy. They go about their life. They get symptoms. They treat the symptoms. The symptoms go away.They feel good for a while, and then their symptoms recur. The only way you're goingto prevent these recurring symptoms is by tackling this thing properly and by gettingon top of the problem or making the right lifestyle and diet changes long enough, usuallyfour to six months, consistently making these changes to eradie this infection. Thenbeing vigilant, being very careful that you don't get recurrence while monitoring thiscondition. And then if the symptoms come up
slightly, is to knock them on the head reallyfast while making those changes again. I write about this a lotmy book, CandidaCrusher, that the big danger period for a lot of people is when they're actually inthe recovery phase. Many people have got a lot to learn about a full recovery becausepartial recovery with many chronic conditions is much more common than full recovery. I'dsay 75 percent of people partially recover. Partial recovery can be meaning as symptomfree for weeks to months, but full recovery means no symptoms for 12 months plus. There'sa big difference. Most websites and books and practitioners you see will pitch to youpartial recovery through their treatments
because they don't push you hard enough orgive the patient the right information they need to fully recover. What causes recurring yeast infections isa partial appliion of wanting to get well, not fully committing. It's almost like you'vegot a job and from eight to five, five days a week, but you turn up at the job three orfour times a week. You don't go five days a week. You're not really fully committedto that job. You're going to annoy a lot of people. You'll probably end up getting firedfrom that job. It's the same with a yeast infection. Somepeople say to me, Look, I will do everything
you say, but I'm not going to give up alcohol.Of course they're going to get recurrence. Or as soon as they get a cough or a cold,they go straight for the antibiotic. Bang! Recurrence. Or they're over at a wedding andthey're feeling really good. They've felt good for two or three months. They're at awedding, and they get offered some champagne, some nice cakes, and some candies and thingslike that, and then they really go into this. They binge on this. They come home and a daylater, Oh, I feel so bad. I've got bad bloating, or things like that. Recurrence. So Recurrence is more common if you've hada period of feeling really good, and then
you go all out and you go crazy and have abit of a binge on something, and then wham, the symptoms recur. It pays to be vigilantand to be careful with your diet and lifestyle for a good four to six months at a minimumbefore you start going back into some of your old habits that lead you to the yeast infectionin the first place. If you can bear some of those pointsmind,you can prevent recurrence of Candida infections. I hope that answers some of your questions. Thank you.
How To Treat Chronic Candida Yeast Infection
Greetings. It's Eric Bakker, naturopath fromNew Zealand, author of Candida Crusher and formulator of the Canxida range of dietarysupplements. Thanks for checking out my tutorial today.I'm going to do a series of tutorials regarding chronic Candida yeast infection. I did oneyesterday, I think, an FAQ, frequently asked question. How do I know if I have chronicCandidaé I've got another question here from a guySydney, Australia. How do I treata chronic Candida yeast infectioné Well, let's talk about that today. How you actually caneffectively treat a chronic Candida infection. What are the steps you need to takeorderto nail this thingé Let's go over this now.
First thing I think is important to spellout to you. It's really important for you to look at the holistic picture of your health,your life and health,general. Many people who come to me for treatment of yeast infection,they basically just want to treat yeast infection. They want to treat the toenail fungus, theywant to treat the vaginal infection, they want to treat the jock itch, or they wantto treat some sort of skin rash they've got. Now that's what they want to treat. They wantto treat one particular thing. Now many practitioners are symptom prescribers. They will just plaeto the patient's need and treat that symptom. Medical s are renowned for doing this.You come to a . They will treat the
symptom.I may have mentioneda previous tutorial. When I wasAustralia years ago, I visiteda medical , a friend of me, and there was a sign hanging up quot;Please present withonly one symptom today,quot; which shows you how stupid the medical system is when today theytreat the headache. You come back tomorrow for maybe a period pain. You come back thefollowing day for arthritis or something. As if, nothing is connectedthe body. Andthere are still many people who are looking for like natural cures. They're looking forpills for ills. Well, if that's you, get the hell away frommy Candida Crusher channel. I don't really
want you watching my tutorials if you think thatI'm going to give you some magic cure or some magic answer for Candida because it's notgoing to happen. So switch off now. Go and have a look at a lot of the other channels.There are a lot of other people that will certainly tell you how you can cure this thingin five minutes orhalf an hour or the 24hour Candida cure. What a load of crap!These things are not possible. You can't cure Candida24 hours. If you really believethat, switch off now. Because I'm going to tell you, it's not going to happen, especiallychronic Candida. You need to look at the whole picture.You need to look at everything that is going
onyour health right now. And we're goingto go over a couple of important points that I've written aboutCandida Crusher, inmy book. The first thing I want you to look at, which I think is 80 percent of recoveryfor not just chronic Candida, but any kind of chronic condition is you need to look atyour lifestyle. You need to look at what's going onyour life right now. So I've writtena few points down here on paper, and we'll go through these bit by bit.The big things I like people to look at are where the stressesyour life are. Whatare the holes that need plugging upé Do you have issues with people around youé Our biggeststresseslife tend to be people. People
that we work with or work for. People thatwork for us. People that we're close torelationships, either professionally or personally.People that we're related to, friends, neighbors, all sorts of people, but people tend to beour biggest stress. Most people I know who come to see me as patients have got one personthat's stressing them out. So these are the sort of frictions that need to be resolvedbecause stress has an incredible way of undermining your health by working on slowly eroding youraenal and thyroid health. By creating hormone imbalances, and these hormone imbalances leadto lots of different problems. So you need to sort these kind of stresses out. You canread a lot more again about stress on ericbakker